Title: Ocular Morbidity among Tribal School Children in Siliguri Sub-Division of Darjeeling District: A Cross-Sectional Study

Authors: Dr Rupanjli Lakra, Dr Malabika Debbarma1, Dr Louis Tirkey

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i9.38

Abstract

Introduction: Vision is the most important special sense in human being. Normal vision is essential for normal physical, mental, psychological development and education.  Early detection and treatment of ocular morbidity is an easy way to improve child health and development.

Objectives: To estimate the prevalence of ocular morbidity among Tribal school children aged 5 – 15 years and socio-demographic factors related to it.

Materials and Methods: A school-based observational study with cross-sectional design was adopted to examine Tribal school children aged 5–15 years in randomly selected rural schools of Phansidewa & Naxalbari blocks of Siliguri sub-division in Darjeeling district from April - July 2018 with a sample size of 180. Interpretation and analysis of the data was done using IBM SPSS version 20.

Results: A total of 180 Tribal students 86(47.8%) males and 94(52.2%) females were examined. The overall Prevalence of ocular morbidity was high (51.7%). Allergic conjunctivitis (38.7%) was the major cause of ocular morbidity followed by Vitamin A deficiency (33.4 %) and refractive error (23.7%).

Conclusion: Data on ocular morbidity among Tribal school children is not readily available. Our study is one of the few studies to be conducted among the Tribal school children in rural area. A high prevalence of ocular morbidity among Tribal school children was observed. Since most of this morbidity is either preventable or treatable, school screening in tribal area forms an effective method to reduce this load.

Keywords: Tribal, School children, Ocular morbidity, Conjunctivitis, Refractive error

References

  1. World Health Organization (1999) Report of WHO/IAPB scientific meeting, Hyderabad, India 13– 17, April. Childhood Blindness Prevention. WHO/PBL/87 3. Murthy GVS.
  2. Sharma PM: School eye health – much more than vision screening. School health in India, e-magazine from SHARP NGO. 2008; Vol. 10, Jul. - Sept.
  3. World Health Organization, Preventing Blindness in Children. Report of a WHO/IAPB Scientific Meeting, Hyderabad, India, 1999.WHO/PBL/00.77.Geneva:World Health Organization; 2000. Available fromhttp://www.apps.who.int/iris/bitstream/10665/66663/1/WHO_PBL_00.77.pdf. [Last accessed on 2018 Aug 16].
  4. Jose R, Sachdeva S. School eye screening and the National Program for Control of Blindness. Indian Pediatr 2009; 46:205-8.
  5. Jose R. Present status of the national programme for control of blindness in India. Community Eye Health J 2008; 21:103-4.
  6. Kishore J. National Health Programmes of India. 9th ed. New Delhi: Century Publications; 2011. p. 420-1.
  7. World Health Organization. Global Initiative for the Elimination of Avoidable Blindness. WHO/PBL/97.61. Geneva, Switzerland: World Health Organization; 1997.
  8. Gilbert C, Foster A. Childhood blindness in the context of VISION 2020 – The right to sight. Bull World Health Organ 2001; 79:227-32.
  9. Singh V, Malik KP, Malik VK, Jain K. Prevalence of ocular morbidity in school going children in West Uttar Pradesh. Indian J Ophthalmol 2017; 65:500-8.
  10. Bhalerao SA, Tandon M, Singh S, Dwivedi S, Kumar S, Rana J. Visual impairment and blindness among the students of blind schools in Allahabad and its vicinity: A causal assessment. Indian J Ophthalmol 2015; 63:254-8.
  11. Khurana AK, Sikka KL, Parmar IPS, Aggarwal SK; Ocular morbidity among school children in Rohtak city. Indian J Public Health, 1984; 28:217–220.
  12. Desai S, Desai R, Desai NC, Lohiya S, Bhargava G, Kumar K; School eye health appraisal. Indian J Ophthalmol. 1989; 37: 173–175.
  13. Kalikivayi V, Naduvilath TJ, Bansal AK, Dandona L; Visual impairment in school children in Southern India. Indian J Ophthalmol., 1997; 45: 129–134.
  14. Deshpande JD, Malathi K. Prevalence of ocular morbidities among school children in rural area of north Maharashtra in India, National Journal of Community Medicine 2011; 2 (2):249-254.
  15. Kotwal NN, Nikose A. Study of visual morbidity among the school going children in rural part of Central India International Journal of Biomedical and Advance Research 2016; 7(5): 219-222.
  16. Kumar R, Dabas P. Ocular Morbidity amongst Primary School Children in Delhi, Health and Population. Perspectives and Issues 2007; 30 (3): 222-229.
  17. Rao SM, Gulati PV and Patnaik KC. (1972) Chronic Defects among Urban School Children, IJPH, XVI (1): 21.
  18. Wedner SH, Ross DA, Balira R, Kaji L, Foster A. Prevalence of eye diseases in primary school children in a rural area of Tanzania. Br J Ophthalmol. 2000; 84:1291– 7
  19. Naik R, Gandhi J, Shah N. Prevalence of Ocular Morbidity among School Going Children (6-15years). Sch. J. App. Med. Sci., 2013; 1(6):848-851
  20. Bansal Amol, Kanthamani Krishnappa et al, Ocular Morbidity in School going Children of Kolar District, South India, J Clin Biomed Sci 2012; 2(4):175-184.
  21. Shrestha RK, Joshi MR et al, Ocular Morbidity among Children Attending Government and Private Schools of Kathmandu Valley, J Nepal Med Assoc 2011; 51 (184): 182-88.
  22. Ayanniyi A, Mahmoud AO, Olatunji FO, Causes and prevalence of Ocular Morbidity Among Primary School Children in Ilorin, Nigeria, Niger J Clin Pract. 2010 Sep; 13(3): 248-53.
  23. Gupta M, Gupta BP, Chauhan A, Bhardwaj A. Ocular morbidity prevalence among school children in Shimla, Himachal, North India. Indian J Ophthalmol 2009; 57:133-8.
  24. Das A, Dutta H, Bhaduri G, De Sarkar A, Sarkar K, Bannerjee M. A study on refractive errors among school children in Kolkata.J Indian Med Assoc 2007; 105:169-72.
  25. Lu P, Chen X, Zhang W, Chen S, Shu L. Prevalence of ocular disease in Tibetan primary school children. Can J Ophthalmol 2008; 43:95-9.
  26. Datta A, Choudhury N, Kundu K. An epidemiological study of ocular condition among school children of Calcutta Corporation. Indian J Ophthalmol 1983; 31:505-10.

Corresponding Author

Dr Louis Tirkey

Assistant Professor, Community Medicine, North Bengal Medical College & Hospital, P.O. Sushrutnagar, West Bengal, India, Pin: 734012

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mobile: 9434234599